3A
palagyan ng id at name kada formhtml
2 months ago
8.6 kB
6
Indexable
Never
<form action="" method="post" id="form3A" style="display: none;"> <div class="row mt-3"> <div class="col-lg-4"> <div class="mb-1"> <label for="simpleinput" class="form-label">Date</label> <input type="text" name="" id="simpleinput" class="form-control"> </div> </div> <div class="col-lg-4"> <div class="mb-1"> <label for="simpleinput" class="form-label">Page Number</label> <input type="number" id="simpleinput" class="form-control"> </div> </div> <div class="col-lg-4"> <div class="mb-1"> <label for="simpleinput" class="form-label">Book Number</label> <input type="number" id="simpleinput" class="form-control"> </div> </div> </div> <div class="row"> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Groom Name</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Bride Name</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> </div> <div class="row"> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Groom Age</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Bride Age</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> </div> <div class="row"> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Groom Citizenship</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Bride Citizenship</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> </div> <div class="row"> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Groom Civil Status</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Bride Civil Status</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> </div> <div class="row"> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Groom's Mother</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Bride's Mother</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> </div> <div class="row"> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Groom's Father</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Bride's Father</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> </div> <div class="row"> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Registry Number</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Date of Registration</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> </div> <div class="row"> <div class="col-lg-6"> <div class="mb-1"> <label for="simpleinput" class="form-label">Date of Marriage</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> <div class="col-lg-6"> <div class="mb-1">++ <label for="simpleinput" class="form-label">Place of Marriage</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> </div> <div class="row"> <div class="col-lg-4"> <div class="mb-1"> <label for="simpleinput" class="form-label">Amount Paid</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> <div class="col-lg-4"> <div class="mb-1"> <label for="simpleinput" class="form-label">O.R. Number</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> <div class="col-lg-4"> <div class="mb-1"> <label for="simpleinput" class="form-label">Date Paid</label> <input type="text" id="simpleinput" class="form-control"> </div> </div> </div> </form>